Job description

ETSU Physicians is an affiliate of ETSU Health and East Tennessee State University's Quillen College of Medicine. ETSU was founded in 1978 and consists of 14 primary and specialty clinics. We employ approximately 250 people in clinical, administration and support environments.

We offer a competitive compensation package with salary based on education and experience. This comprehensive benefit package includes: health, dental, vision, disability and life insurance. Benefits also include 18 days paid time off, 10.5 paid holidays annually, a paid retirement plan with an employer matching program and more.

JOB SUMMARY: Under supervision of the Chief Operating Officer, the Director of Medical Coding and Compliance will supervise a team of auditors, who will participate in the performance of medical record audits of all College of Medicine Departments involved with billing third-party payers. Will also serve as Compliance Officer of ETSU Health and will oversee education for physicians, residents, and billing staff regarding coding and documentation requirements.

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.

• Maintain current Compliance Plan
• Perform annual audits of documentation of inpatient and office medical records by physicians, residents, nurse practitioners and other providers.
• Educate the physicians, residents, nurse practitioners and other providers of coding and documentation issues based on the audits.
• Report audit results to the Associate Dean, Compliance Committee, and Board of Directors as appropriate.
• Provide coding and documentation guidelines to the physicians, residents, nurse practitioners, and billing employees as needed.
• Provide an orientation to all new hire physicians on the compliance plan and policies, teaching physician guidelines.
• Research problem areas and provide solutions related to coding, payer requirements.

EDUCATION AND/OR EXPERIENCE: Bachelor in related field is preferred. Knowledge of CPT, ICD-10-CM and HCPCS coding systems and guidelines. Basic knowledge of HIPAA guidelines necessary. Experience in an academic and/or multi-specialty environment preferred. Knowledge of medical terminology, physician billing, third-party regulations, and auditing procedures. CCS, CPC, ART or RRA required, plus 5 years of coding and billing experience. Previous auditing experience required.

Applicants should apply online at https://etsuhealth.org/employment

EOE / AA/M/F/Disability/Vet ETSU Physicians participates in E-verify

Job Type: Full-time

Benefits:

• Dental insurance
• Health insurance
• Life insurance
• Retirement plan
• Vision insurance

Schedule:

• Monday to Friday

Work Location: In person

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